Donald Scott House

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29061 Issued in TX

Practice address

121 Eastgate PLZ
Bellmead, TX 76705-2868

Phone

(254) 799-4867

NPI assigned

Jun 20, 2013

Last updated

Jun 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fusion Dental- Hewitt PLLC

  • Dental Clinic/Center
  • Waco, TX
  • NPI 1114441755
  NPD (past)
• Waco Family Dental PLLC

  dba Fusion Dental and Braces- Waco

  • General Practice Dentistry
  • Bellmead, TX
  • NPI 1578211033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1114366390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10017 DESPERADO",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767086195",
            "telephone_number": "208-520-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EASTGATE PLZ",
            "city": "BELLMEAD",
            "state": "TX",
            "postal_code": "767052868",
            "telephone_number": "254-799-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "DONALD",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021867",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Marie Gibich
• Mellodiemolly Gibson
• Samuel John Gilbertson, PTA
• Brittany Greensage, RPH
• Heart of Texas Community Health Center, Inc. (Bellmead Community Clinic)
• Jonathan Huo
• James T Shoptaw DDS
• Christopher F Johnson, DPT
• Paul Joseph Kitchens
• Sandra Kitson, M.D.

• General Practice Dentistry in Bellmead, TX
• Providers in Bellmead, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.